Pub Date : 2024-10-01DOI: 10.1177/08943184241269962
Kathryn Sabo, Susan Hunter Revell
The authors describe the development of a model that focuses on how primary care providers can facilitate health promotion in older adults. The health-promoting self-care in older adults (HPSOA) model was developed through a synthesis of key concepts from the Health Promotion model and the Modeling Role Modeling Theory. Walker and Avant's strategy for theory synthesis was used in its development. The model prioritizes rapport building to foster a trusting patient-provider relationship and focuses on long-term solutions to health promotion. Further model use through testing, research, and application in practice is recommended.
作者介绍了一个模型的开发过程,该模型的重点是初级保健提供者如何促进老年人的健康。老年人健康促进自我护理模式(HPSOA)是综合了健康促进模式和模范角色塑造理论中的关键概念而开发出来的。在开发过程中采用了 Walker 和 Avant 的理论综合策略。该模型优先考虑建立融洽的关系,以促进患者与医疗服务提供者之间的信任关系,并侧重于健康促进的长期解决方案。建议通过测试、研究和在实践中的应用来进一步使用该模型。
{"title":"Facilitating Health-Promoting Self-Care in Older Adults: A Theory Synthesis.","authors":"Kathryn Sabo, Susan Hunter Revell","doi":"10.1177/08943184241269962","DOIUrl":"10.1177/08943184241269962","url":null,"abstract":"<p><p>The authors describe the development of a model that focuses on how primary care providers can facilitate health promotion in older adults. The health-promoting self-care in older adults (HPSOA) model was developed through a synthesis of key concepts from the Health Promotion model and the Modeling Role Modeling Theory. Walker and Avant's strategy for theory synthesis was used in its development. The model prioritizes rapport building to foster a trusting patient-provider relationship and focuses on long-term solutions to health promotion. Further model use through testing, research, and application in practice is recommended.</p>","PeriodicalId":49726,"journal":{"name":"Nursing Science Quarterly","volume":"37 4","pages":"344-352"},"PeriodicalIF":1.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142382082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-01DOI: 10.1177/08943184241269934
Karen Carroll
The author of this article considers the topic of bliss and peace that arises in connecting-separating with persons, with others, with ideas, and even with events. Amid the ever-increasing fast-paced communication, considering connecting-separating from a humanbecoming perspective serves as an approach that honors paradoxical patterns expressed by persons and families.
{"title":"Bliss and Peace of Connecting-Separating.","authors":"Karen Carroll","doi":"10.1177/08943184241269934","DOIUrl":"10.1177/08943184241269934","url":null,"abstract":"<p><p>The author of this article considers the topic of bliss and peace that arises in connecting-separating with persons, with others, with ideas, and even with events. Amid the ever-increasing fast-paced communication, considering connecting-separating from a humanbecoming perspective serves as an approach that honors paradoxical patterns expressed by persons and families.</p>","PeriodicalId":49726,"journal":{"name":"Nursing Science Quarterly","volume":"37 4","pages":"325-328"},"PeriodicalIF":1.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-01DOI: 10.1177/08943184241247281
Howard K Butcher
The purpose of this article is to reintroduce and describe the processes and phases of heuristic inquiry and to illustrate how the method can advance nursing science. Heuristic inquiry is a rigorous, systematic, phenomenologically orientated research method developed by Clark Moustakas for investigating, discovering, and understanding the nature and meaning of living experiences. Heuristic inquiry invites the inclusion of the researcher's autobiographical living of experience being investigated honoring the personal experiences of the phenomenon from self and each participant in the research study. The author proposes that heuristic inquiry be used in nursing science by including a theoretical interpretive process connecting the thematic essences of the nursing conceptual framework guiding the study. Nursing theory-guided heuristic research advances the study of caring for persons experiencing human-environmental-health transitions to enhance human betterment and wellbecoming.
{"title":"Heuristic Research in Nursing Science.","authors":"Howard K Butcher","doi":"10.1177/08943184241247281","DOIUrl":"10.1177/08943184241247281","url":null,"abstract":"<p><p>The purpose of this article is to reintroduce and describe the processes and phases of heuristic inquiry and to illustrate how the method can advance nursing science. Heuristic inquiry is a rigorous, systematic, phenomenologically orientated research method developed by Clark Moustakas for investigating, discovering, and understanding the nature and meaning of living experiences. Heuristic inquiry invites the inclusion of the researcher's autobiographical living of experience being investigated honoring the personal experiences of the phenomenon from self and each participant in the research study. The author proposes that heuristic inquiry be used in nursing science by including a theoretical interpretive process connecting the thematic essences of the nursing conceptual framework guiding the study. Nursing theory-guided heuristic research advances the study of caring for persons experiencing human-environmental-health transitions to enhance human betterment and wellbecoming.</p>","PeriodicalId":49726,"journal":{"name":"Nursing Science Quarterly","volume":"37 3","pages":"204-211"},"PeriodicalIF":1.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141248649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-01DOI: 10.1177/08943184241247004
Mario R Ortiz
The purpose of this paper is to discuss heuristics, guided by Parse's (2021a) community model, to understand how health policies emerge from the unique values and beliefs of community constituents. Within this paper, there is a discussion about heuristics, health policy, Parse's humanbecoming paradigm, and policy implications reflected upon with the change concepts of the humanbecoming community model.
{"title":"Heuristics, Community Change Concepts, and Health Policy: Coming to Know.","authors":"Mario R Ortiz","doi":"10.1177/08943184241247004","DOIUrl":"10.1177/08943184241247004","url":null,"abstract":"<p><p>The purpose of this paper is to discuss heuristics, guided by Parse's (2021a) community model, to understand how health policies emerge from the unique values and beliefs of community constituents. Within this paper, there is a discussion about heuristics, health policy, Parse's humanbecoming paradigm, and policy implications reflected upon with the change concepts of the humanbecoming community model.</p>","PeriodicalId":49726,"journal":{"name":"Nursing Science Quarterly","volume":"37 3","pages":"291-294"},"PeriodicalIF":1.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141248650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
When people with sickle cell disease in vaso-occlusive crisis need hospitalization, they often experience fragmented and disparate treatment. Racial, gender, and socioeconomic treatment bias by providers, including nurses, is complicated by the current reactionary United States (US) controlled substance policies. To provide high-quality and respectful care, nurses can use Kolcaba's Comfort Theory as the framework for a holistic plan to assess, deliver individualized interventions, and evaluate outcomes for people experiencing vaso-occlusive crisis. Once in the electronic medical record, it can guide care during future hospitalizations. By refocusing on the nursing value of providing comfort care to individuals in distress, nurses can change treatment outcomes for clients.
{"title":"Applying Comfort Theory to Improve Outcomes for People in Sickle Cell Crisis.","authors":"Julie Kientz Elting, Danielle Di Cesare, Jenee Layne, Marla Murthy, Orest Mysyuk","doi":"10.1177/08943184241247080","DOIUrl":"10.1177/08943184241247080","url":null,"abstract":"<p><p>When people with sickle cell disease in vaso-occlusive crisis need hospitalization, they often experience fragmented and disparate treatment. Racial, gender, and socioeconomic treatment bias by providers, including nurses, is complicated by the current reactionary United States (US) controlled substance policies. To provide high-quality and respectful care, nurses can use Kolcaba's Comfort Theory as the framework for a holistic plan to assess, deliver individualized interventions, and evaluate outcomes for people experiencing vaso-occlusive crisis. Once in the electronic medical record, it can guide care during future hospitalizations. By refocusing on the nursing value of providing comfort care to individuals in distress, nurses can change treatment outcomes for clients.</p>","PeriodicalId":49726,"journal":{"name":"Nursing Science Quarterly","volume":"37 3","pages":"249-254"},"PeriodicalIF":1.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141248639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-01DOI: 10.1177/08943184241246982
Mary R Morrow, W Richard Cowling
In looking back over 3 decades since the development of his interest in developing a unitary conceptualization of despair, nurse scholar W. Richard Cowling, III, had new insights and revelations. The purpose of this dialogue article is to re-envision this journey as one of unfolding, seen with the gift of new eyes. Revisiting this journey allowed him to understand and appreciate it anew. Horizons of possibilities of this conceptual journey are explained in terms of conceptual-theoretical development, inquiry, and the advancement of discipline-specific knowledge, and improving the lives of women in despair. It is his sincere hope, as with all meaningful scholarly endeavors, that a wider discourse occurs with the persistent inclusion of women's voices and experiences.
护士学者理查德-考林三世(W. Richard Cowling, III)回顾了他对绝望的统一概念化产生兴趣以来的三十多年,他有了新的见解和启示。这篇对话文章的目的是重新认识这一历程,将其视为一个以新的视角看待的不断发展的历程。重温这段旅程让他重新理解和欣赏这段旅程。他从概念-理论发展、探究、学科知识的进步以及改善绝望妇女的生活等方面阐述了这一概念之旅的可能性。他衷心希望,正如所有有意义的学术研究一样,通过坚持不懈地吸纳妇女的声音和经验,开展更广泛的讨论。
{"title":"The World of Women's Despair: An Unfolding Unitary Conceptual Journey.","authors":"Mary R Morrow, W Richard Cowling","doi":"10.1177/08943184241246982","DOIUrl":"10.1177/08943184241246982","url":null,"abstract":"<p><p>In looking back over 3 decades since the development of his interest in developing a unitary conceptualization of despair, nurse scholar W. Richard Cowling, III, had new insights and revelations. The purpose of this dialogue article is to re-envision this journey as one of unfolding, seen with the gift of new eyes. Revisiting this journey allowed him to understand and appreciate it anew. Horizons of possibilities of this conceptual journey are explained in terms of conceptual-theoretical development, inquiry, and the advancement of discipline-specific knowledge, and improving the lives of women in despair. It is his sincere hope, as with all meaningful scholarly endeavors, that a wider discourse occurs with the persistent inclusion of women's voices and experiences.</p>","PeriodicalId":49726,"journal":{"name":"Nursing Science Quarterly","volume":"37 3","pages":"222-229"},"PeriodicalIF":1.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141248678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-01DOI: 10.1177/08943184241247016
Shu-Yi Wang, Ellyn E Matthews
With rapid advancements in sciences and the expanding scope of nursing practice, faculty are challenged to connect the experiences of learners with abstract concepts of science and to cultivate clinical reasoning skills. Rationale for the adoption of the illness-wellness continuum model includes the following: (a) the relationships among illness, health, and the nursing process are relevant in many health situations, and (b) levels of wellness are steeped in holistic principles of self-care, which are consistent with educational and clinical goals. The modified version of the illness-wellness continuum model can serve as the groundwork that prepares nursing students in a constantly changing workplace.
{"title":"Benefits of the Modified Version of the Illness-Wellness Continuum Model for Nurse Education.","authors":"Shu-Yi Wang, Ellyn E Matthews","doi":"10.1177/08943184241247016","DOIUrl":"10.1177/08943184241247016","url":null,"abstract":"<p><p>With rapid advancements in sciences and the expanding scope of nursing practice, faculty are challenged to connect the experiences of learners with abstract concepts of science and to cultivate clinical reasoning skills. Rationale for the adoption of the illness-wellness continuum model includes the following: (a) the relationships among illness, health, and the nursing process are relevant in many health situations, and (b) levels of wellness are steeped in holistic principles of self-care, which are consistent with educational and clinical goals. The modified version of the illness-wellness continuum model can serve as the groundwork that prepares nursing students in a constantly changing workplace.</p>","PeriodicalId":49726,"journal":{"name":"Nursing Science Quarterly","volume":"37 3","pages":"278-283"},"PeriodicalIF":1.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141248640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-01DOI: 10.1177/08943184241247015
Steven L Baumann
This is an introduction to a manuscript by the faculty and the Dean of the California Baptist University on their International Service Project (ISP) and Academic Service-Learning project.
本文是加州浸会大学教师和院长关于其国际服务项目(ISP)和学术服务学习项目手稿的介绍。
{"title":"From Faith to Global Understanding.","authors":"Steven L Baumann","doi":"10.1177/08943184241247015","DOIUrl":"10.1177/08943184241247015","url":null,"abstract":"<p><p>This is an introduction to a manuscript by the faculty and the Dean of the California Baptist University on their International Service Project (ISP) and Academic Service-Learning project.</p>","PeriodicalId":49726,"journal":{"name":"Nursing Science Quarterly","volume":"37 3","pages":"284-285"},"PeriodicalIF":1.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141248648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-01DOI: 10.1177/08943184241247003
Pamela G Reed
I propose that moral distress may function as a moral heuristic, and one that misses its mark in signifying a fundamental source for nurses' moral suffering. Epistemic injustice is an insidious workplace wrongdoing that is glossed over or avoided in explicit explanations for nurse moral suffering and is substituted by an emphasis on the nurse's own wrongdoing. I discuss reasons and evidence for considering moral distress as a moral heuristic that obfuscates the role of epistemic injustice as a fundamental constraint on nurses' moral reasoning underlying moral suffering.
{"title":"Moral Distress as Moral Heuristic Missing the Mark.","authors":"Pamela G Reed","doi":"10.1177/08943184241247003","DOIUrl":"10.1177/08943184241247003","url":null,"abstract":"<p><p>I propose that moral distress may function as a moral heuristic, and one that misses its mark in signifying a fundamental source for nurses' moral suffering. Epistemic injustice is an insidious workplace wrongdoing that is glossed over or avoided in explicit explanations for nurse moral suffering and is substituted by an emphasis on the nurse's own wrongdoing. I discuss reasons and evidence for considering moral distress as a <i>moral heuristic</i> that obfuscates the role of epistemic injustice as a fundamental constraint on nurses' moral reasoning underlying moral suffering.</p>","PeriodicalId":49726,"journal":{"name":"Nursing Science Quarterly","volume":"37 3","pages":"230-236"},"PeriodicalIF":1.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141248655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-01DOI: 10.1177/08943184241246986
Maria W O'Rourke, Jacqueline Fawcett
This essay is an extension of a previous essay in which culture was identified as a distinct concept of our disciplinary metaparadigm. Here, we define subculture and discuss our rationale for rejection of the reality of subcultures.
{"title":"More Thoughts About Culture as a Metaparadigm Concept: Rejection of the Reality of Subcultures.","authors":"Maria W O'Rourke, Jacqueline Fawcett","doi":"10.1177/08943184241246986","DOIUrl":"10.1177/08943184241246986","url":null,"abstract":"<p><p>This essay is an extension of a previous essay in which culture was identified as a distinct concept of our disciplinary metaparadigm. Here, we define subculture and discuss our rationale for rejection of the reality of subcultures.</p>","PeriodicalId":49726,"journal":{"name":"Nursing Science Quarterly","volume":"37 3","pages":"297-298"},"PeriodicalIF":1.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141248658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}